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Each of the questions that follows consists of an incomplete statement or question followed by 5
suggested completions or answers. For each question mark the ONE completion or answer which is
most appropriate.
4. The spleen:
A) develops in the dorsal mesogastrium
B) is deep to the left ninth, tenth and eleventh costal cartilage
C) has a notched inferior border
D) has a colic surface at its posterior end
E) has some striated muscle in its capsule
The questions that follow consist of an assertion or statement (S) and a reason (R). For each
question select the most appropriate response as follows:
31.
Urine from the rupture of the spongy part of the male urethra does not track to the anal region
BECAUSE
the membranous layer of the superficial fascia is attached to the posterior border of the perineal
membrane
32.
Carcinoma of the penis tends to metastasis first to retropheritoneal para-aotic lymph nodes
BECAUSE
the developing male gonads initally lie high up on the dorsal abdominal wall
33.
Acute appendicitis may cause peri-umbilical pain
BECAUSE
autonomic afferent fibres from the vermiform appendix enter the eighth thoracic segment of the spinal
cord
34.
The superior part of the duodenum is supplied by branches of the hepatic and gastroduodenal arteries
BECAUSE
the rosteral part of the small intestine develops from the abdominal foregut
35.
The right lumbar arteries are longer than the left
BECAUSE
the abdominal aorta lies to the left of the median plane
36.
Ligation of the common iliac artery results in a collateral circulation through the anastomosis between
the inferior and superior epigastic arteries
BECAUSE
the external and internal iliac arteries are the terminal branches of the common iliac artery
37.
Scrotal skin wrinkles in cold weather
BECAUSE
dartos is smooth muscle
38.
The left ureter is readily located at the the pelvic brim
BECAUSE
it lies in the anterior wall of the intersigmoid peritoneal recess
39.
Bilateral lumbar sympathectomy in the male is seldom followed by loss of ejaculation
BECAUSE
the third lumbar ganglion is usually preserved on one side
40.
At laparotomy division of the left triangular ligament will improve access to the oeophageal hiatus
BECAUSE
the abdominal part of the oesophagus lies behind the left lobe of the liver
50. The peritoneum lining the anterior wall of the lesser sac:
1) clothes the posterior suface of the stomach
2) clothes the posterior surface of the first 1 or 2 cms of the duodenum
3) forms the posterior layer of the lesser omentum
4) forms the most posterior of the two anterior layers of the greater omentum
60. The root of the mesentery of the small intestine crosses the:
1) third part of the duodenum
2) right gonadal vessels
3) right ureter
4) abdominal aorta
67. Peritoneum separates the anterior surface of the left kidey from the:
1) stomach
2) body of pancreas
3) spleen
4) small intestine
68. Blood may drain into the left renal vein from the:
1) left gonad
2) body wall
3) left suprarenal gland
4) diaphragm
84. The superficial inguinal lymph nodes receive lymph from the:
1) glans penis
2) anal canal
3) epididymis
4) scrotum
119. Nerves appearing at the lateral border of psoas major include the:
1) iliohypogastric
2) genitofemoral
3) lateral cutaneous of the thigh
4) obturator